Individual
ALYSSA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(559) 324-5330
Mailing address
7200 VERITAS RD, MANTECA, CA 95337-8507
(209) 609-6945
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001156
CA
Other
Enumeration date
07/31/2019
Last updated
01/03/2022
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